Individual
REX WILLIAM MICHITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 MERCY CIR, OCEANSIDE, CA 92055
(573) 619-3030
Mailing address
200 MERCY CIR, OCEANSIDE, CA 92055
(573) 619-3030
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
0102207387
VA
Other
Enumeration date
03/08/2021
Last updated
08/10/2022
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